Health care for older adults in Europe: how has it evolved and what are the challenges?

Geriatric medicine has evolved to an accepted specialty in 23 European countries. Despite much heterogeneity of postgraduate geriatric curricula, European societies have succeeded in defining a common core curriculum with a list of minimum training requirements for obtaining the specialty title of geriatric medicine. Geriatricians play a leading role in finding solutions for the challenges of health care of multimorbid older patients. One of these challenges is the demographic shift with the number of adults aged 80 years and older in Europe expected to double by 2050. Although geriatric units will play a role in the care of frail older patients, new care models are needed to integrate the comprehensive geriatric assessment approach for the care of the vast majority of older patients admitted to non-geriatric hospital units. Over the last few years, co-management approaches have been developed to address this gap. Innovative models are also in progress for ambulatory care, prevention and health promotion programs, and long-term care. Efforts to implement geriatric learning objectives in undergraduate training, and the generation of practice guidelines for geriatric syndromes may help to improve the quality of care for older patients

Charmonium spectrum in an unquenched quark model

The effects of virtual light quark pairs on the charmonium spectrum are studied. Pair creation is modelled with a ``$^{3}P_{0}$" vertex and intermediate states are summed up to 2S excitations. Quark model parameters are obtained by fitting to 12 well-known charmonium states, allowing for feedback between the decaying particle and the induced mass shifts. Both of these technical steps are new and improve agreement with the experimental spectrum. In general, the masses receive small shifts once model parameters are refit. This is true in almost cases except the $\chi_{cJ}(2P)$ multiplet, which experiences upwards mass shifts of order 150 MeV, has the ordering of the multiplet rearranged, and pushes the erstwhile $c\bar{c}$ ${2}^3P_1$ state well above $D^*\bar{D}$ threshold--observations that clarify the nature of the enigmatic $X(3872)

Joint Comprehensive Plan of Action Opportunity for HIF in Iran

Cooperation in fusion energy research and high-energy accelerators has been a “bridge over troubled waters” for most of a century. Physics research has traditionally been an international endeavor, involving the earliest accelerator developments, and hitting a hiatus only during World War II. Fusion energy research using magnetic confinement was internationalized by the Geneva meeting in 1958. Iran is and has been a participant in fusion research, even during the troubles of the past couple decades..

Vacuum Polarization and Dynamical Chiral Symmetry Breaking: Phase Diagram of QED with Four-Fermion Contact Interaction

We study chiral symmetry breaking for fundamental charged fermions coupled electromagnetically to photons with the inclusion of four-fermion contact self-interaction term. We employ multiplicatively renormalizable models for the photon dressing function and the electron-photon vertex which minimally ensures mass anomalous dimension = 1. Vacuum polarization screens the interaction strength. Consequently, the pattern of dynamical mass generation for fermions is characterized by a critical number of massless fermion flavors above which chiral symmetry is restored. This effect is in diametrical opposition to the existence of criticality for the minimum interaction strength necessary to break chiral symmetry dynamically. The presence of virtual fermions dictates the nature of phase transition. Miransky scaling laws for the electromagnetic interaction strength and the four-fermion coupling, observed for quenched QED, are replaced by a mean-field power law behavior corresponding to a second order phase transition. These results are derived analytically by employing the bifurcation analysis, and are later confirmed numerically by solving the original non-linearized gap equation. A three dimensional critical surface is drawn to clearly depict the interplay of the relative strengths of interactions and number of flavors to separate the two phases. We also compute the beta-function and observe that it has ultraviolet fixed point. The power law part of the momentum dependence, describing the mass function, reproduces the quenched limit trivially. We also comment on the continuum limit and the triviality of QED.Comment: 9 pages, 10 figure

Decays and spectrum of bottom and bottom strange mesons

The strong decay amplitudes and radiative partial widths of orbital and radially excited states of $B$ and $B_s$ mesons are presented. These results are obtained with a nonrelativistic potential quark model, the nonrelativistic reduction of the electromagnetic transition operator, and the "$^3P_0$" model of strong decays. The predictions are compared to experiment where possible and assignments for the recently discovered states, $B_1(5721)$, $B_2^*(5747)$, $B_J(5840)$, $B_J(5970)$, $B_{s1}(5830)$, and $B_{s2}^*(5840)$, are made.Comment: 36 pages, 3 figure

Joint Comprehensive Plan of Action Opportunity for HIF in Iran

Cooperation in fusion energy research and high-energy accelerators has been a “bridge over troubled waters” for most of a century. Physics research has traditionally been an international endeavor, involving the earliest accelerator developments, and hitting a hiatus only during World War II. Fusion energy research using magnetic confinement was internationalized by the Geneva meeting in 1958. Iran is and has been a participant in fusion research, even during the troubles of the past couple decades..

Dirac Quantization Condition for Monopole in Noncommutative Space-Time

Since the structure of space-time at very short distances is believed to get modified possibly due to noncommutativity effects and as the Dirac Quantization Condition (DQC), $\mu e = \frac{N}{2}\hbar c$, probes the magnetic field point singularity, a natural question arises whether the same condition will still survive. We show that the DQC on a noncommutative space in a model of dynamical noncommutative quantum mechanics remains the same as in the commutative case to first order in the noncommutativity parameter $\theta$, leading to the conjecture that the condition will not alter in higher orders.Comment: 11 page

Vitamin D with Calcium reduces mortality: patient level pooled analysis of 70,528 patients from eight major vitamin D trials

Introduction: Vitamin D may affect multiple health outcomes. If so, an effect on mortality is to be expected. Using pooled data from randomized controlled trials, we performed individual patient data (IPD) and trial level meta-analyses to assess mortality among participants randomized to either vitamin D alone or vitamin D with calcium. Subjects and Methods: Through a systematic literature search, we identified 24 randomized controlled trials reporting data on mortality in which vitamin D was given either alone or with calcium. From a total of 13 trials with more than 1000 participants each, eight trials were included in our IPD analysis. Using a stratified Cox regression model, we calculated risk of death during 3 yr of treatment in an intention-to-treat analysis. Also, we performed a trial level meta-analysis including data from all studies. Results: The IPD analysis yielded data on 70,528 randomized participants (86.8% females) with a median age of 70 (interquartile range, 62–77) yr. Vitamin D with or without calcium reduced mortality by 7% [hazard ratio, 0.93; 95% confidence interval (CI), 0.88–0.99]. However, vitamin D alone did not affect mortality, but risk of death was reduced if vitamin D was given with calcium (hazard ratio, 0.91; 95% CI, 0.84–0.98). The number needed to treat with vitamin D plus calcium for 3 yr to prevent one death was 151. Trial level meta-analysis (24 trials with 88,097 participants) showed similar results, i.e. mortality was reduced with vitamin D plus calcium (odds ratio, 0.94; 95% CI, 0.88–0.99), but not with vitamin D alone (odds ratio, 0.98; 95% CI, 0.91–1.06). Conclusion: Vitamin D with calcium reduces mortality in the elderly, whereas available data do not support an effect of vitamin D alone